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\"2024-06-10 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/infection-control/media/pdfs/icar-ipc-obs-form-inject-safety-508.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"A simple tool to assess healthcare providers’ adherence to safe injection practices that can be adapted for use in an outbreak investigation.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-01 23:22:30','2024-08-01 23:22:30','2efa9adf-9ce1-42e3-b4c8-3fa568e44188'),(47028,46701,1,NULL,NULL,NULL,NULL,1,'2024-08-01 23:22:30','2024-08-01 23:22:30','8eb6b56e-428a-49bd-ab28-bd9441467c08'),(47029,46702,1,NULL,NULL,NULL,NULL,1,'2024-08-01 23:22:30','2024-08-01 23:22:30','f9649d07-4256-412e-8494-e86b6036b596'),(47030,46703,1,NULL,'__temp_aljvndvwolmriztdnioszzaqczfikreweavr',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Outbreaks and infection control breaches in health care settings: Considerations for patient 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Drains\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-10 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/dialysis-safety/hcp/recommendations-resources/dialysis-wall-boxes-and-drains.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Dialysis station wall boxes and drains have been linked to outbreaks.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-01 23:22:36','2024-08-01 23:22:36','b2684485-d88b-4649-ad9e-70f2d0d4fc37'),(47050,46723,1,NULL,NULL,NULL,NULL,1,'2024-08-01 23:22:36','2024-08-01 23:22:36','a1d7f9f4-4d11-4611-9d75-d69339597f35'),(47051,46724,1,NULL,'__temp_mezykglwlinjailwkwsavjkbsedejnenvqut',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Viral Hepatitis\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-10 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://??+https://www.corha.org/resources-and-products/?filter_cat=viral-hepatitis\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"A single case of possible dialysis-associated HBV or HCV warrants investigation to rule out an outbreak.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-01 23:22:36','2024-08-01 23:22:36','5c730b06-20de-4432-bfe9-8882d075dd7c'),(47061,46734,1,'Drug Diversion','drug-diversion','diseases-pathogens/drug-diversion','{\"b0e373e6-78db-4059-8c91-7bf51b328e7b\": true}',1,'2024-08-01 23:22:59','2024-08-01 23:22:59','50e9392f-1d40-4d6e-a551-0cc3d4b3d096'),(47062,46735,1,NULL,'__temp_hdsraqonqprifuysemndgkhaquuigrkvhjsx',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Drug diversion puts patients at risk for healthcare-associated infections.</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Drug Diversion\"}',1,'2024-08-01 23:22:59','2024-08-01 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{\"date\": \"2024-06-10 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://publichealth.lacounty.gov/acd/Diseases/ScabiesToolkit.htm\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Toolkit to help healthcare facilities manage scabies outbreaks and train staff on identification, transmission, and treatment of scabies.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-01 23:23:50','2024-08-01 23:23:50','0f269c9a-b3ed-4a92-97fe-ee56dc627790'),(47204,46877,1,'Candida auris','c-auris','diseases-pathogens/c-auris','{\"b0e373e6-78db-4059-8c91-7bf51b328e7b\": true}',1,'2024-08-01 23:24:09','2024-08-01 23:24:09','5f32a2fa-a075-455c-91a2-8779d12ffa75'),(47205,46878,1,NULL,'__temp_mgxgiouzofnmkbhidqgmctqezrknagtyorzu',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Also referred to as C. auris</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Candida auris\"}',1,'2024-08-01 23:24:10','2024-08-01 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\"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://old.corha.org/wp-content/uploads/2021/08/Candida-auris-Recommendations-for-Healthcare-Outbreak-Response.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This CORHA developed product includes proposed investigation/reporting thresholds and an outbreak definition for C. auris.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-01 23:24:10','2024-08-01 23:24:10','eb1d5ca4-e092-45ff-bec7-5b8128c7ef5e'),(47210,46883,1,NULL,NULL,NULL,NULL,1,'2024-08-01 23:24:10','2024-08-01 23:24:10','cf87076d-860e-4b84-a872-5c2dd0ff8cd8'),(47211,46884,1,NULL,'__temp_qmhcxyvtsbbfepftnwkiivogawelgczjtxsi',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Infection Control Guidance: Candida auris\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/candida-auris/hcp/infection-control/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This CDC product outlines measures to control C. auris including setting-specific guidance.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-01 23:24:10','2024-08-01 23:24:10','7948f9aa-091a-4e63-8e52-e087e076ebe2'),(47212,46885,1,NULL,NULL,NULL,NULL,1,'2024-08-01 23:24:10','2024-08-01 23:24:10','67a71010-3879-4860-8e00-35dc921c1df5'),(47213,46886,1,NULL,'__temp_odwrxknpunbllrstogttzfwrmsxyltsxnctc',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Screening for Candida auris Colonization\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/candida-auris/hcp/screening-hcp/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This CDC resource provides detailed recommendations on screening for C. auris colonization.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-01 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It clarifies the precautions needed based on the population at risk and the regional prevalence of C. auris.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-01 23:24:10','2024-08-01 23:24:10','a3e5b82d-5b98-4830-b196-e2b0ee37e300'),(47223,46896,1,'Fungal Endophthalmitis Outbreak after Cataract Surgery, South Korea, 2020','fungal-endophthalmitis-outbreak-after-cataract-surgery-south-korea-2020','outbreak-news/fungal-endophthalmitis-outbreak-after-cataract-surgery-south-korea-2020',NULL,1,'2024-08-02 15:07:46','2024-08-02 15:07:46','ee1f990c-ddc0-4b92-8169-2fcb6cf96141'),(47224,46897,1,NULL,NULL,NULL,'{\"46f8fcfe-c756-437a-ab02-62c34cb70433\": \"Emerging Infectious Diseases\", \"d327c84a-a0ba-403a-932c-9a807624e3ef\": {\"date\": \"2022-12-14 21:04:48\"}, \"f9e1c7bb-0351-432a-beb2-a1562d8f7e7e\": \"https://wwwnc.cdc.gov/eid/article/28/11/22-0361_article\"}',1,'2024-08-02 15:07:46','2024-08-02 15:07:46','0f826fe3-ac85-4df4-be0b-f8ba72e6c368'),(47226,46899,1,'Cluster of 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\"https://www.ajicjournal.org/article/S0196-6553(21)00670-2/fulltext?dgcid=raven_jbs_etoc_email#relatedArticles\"}',1,'2024-08-02 15:19:57','2024-08-02 15:19:57','27895e39-9912-4f94-8c6b-a810b8ef6fb9'),(47299,46972,1,'Impact of COVID-19 on an infection prevention and control program, Iowa 2020-2021','impact-of-covid-19-on-an-infection-prevention-and-control-program-iowa-2020-2021','outbreak-news/impact-of-covid-19-on-an-infection-prevention-and-control-program-iowa-2020-2021',NULL,1,'2024-08-02 15:20:25','2024-08-02 15:20:25','7e0f15b0-d63f-47f2-853f-ac10d4db1eef'),(47300,46973,1,NULL,NULL,NULL,'{\"46f8fcfe-c756-437a-ab02-62c34cb70433\": \"American Journal of Infection Control\", \"d327c84a-a0ba-403a-932c-9a807624e3ef\": {\"date\": \"2022-01-14 16:46:53\"}, \"f9e1c7bb-0351-432a-beb2-a1562d8f7e7e\": \"https://www.ajicjournal.org/article/S0196-6553(21)00763-X/fulltext\"}',1,'2024-08-02 15:20:25','2024-08-02 15:20:25','07ad1694-8ad6-4e95-bcbb-cb90d0c4669a'),(47302,46975,1,'Gram-Negative 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conditions','fda-highlights-concerns-with-compounding-of-drug-products-by-medical-offices-and-clinics-under-insanitary-conditions','outbreak-news/fda-highlights-concerns-with-compounding-of-drug-products-by-medical-offices-and-clinics-under-insanitary-conditions',NULL,1,'2024-08-02 15:21:44','2024-08-02 15:21:44','f8d81303-0216-42f7-8b7b-7fbd3608ce18'),(47312,46985,1,NULL,NULL,NULL,'{\"46f8fcfe-c756-437a-ab02-62c34cb70433\": \"U.S. Food & Drug Administration\", \"d327c84a-a0ba-403a-932c-9a807624e3ef\": {\"date\": \"2021-10-25 16:25:58\"}, \"f9e1c7bb-0351-432a-beb2-a1562d8f7e7e\": \"https://www.fda.gov/drugs/human-drug-compounding/fda-highlights-concerns-compounding-drug-products-medical-offices-and-clinics-under-insanitary\"}',1,'2024-08-02 15:21:44','2024-08-02 15:21:44','d15b7c16-f220-4c15-998e-feff90ecc791'),(47314,46987,1,'Mycobacterium porcinum Skin and Soft Tissue Infections After Vaccinations — Indiana, Kentucky, and Ohio, September 2018–February 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15:36:30','2024-08-02 15:36:30','df7d571b-a29a-4dcd-a0e6-9f84353de287'),(47324,46997,1,NULL,'__temp_asptrczxpedlptammvsnyezhnypqxihplyhf',NULL,'{\"5e69eb2b-d9e6-4bc3-96d9-bd135014dc13\": \"Resources which can aid healthcare and public health personnel\", \"8fb44257-6036-45ee-828d-a67768a3ce5d\": \"Featured tools to support data management during outbreak investigations\"}',1,'2024-08-02 15:36:30','2024-08-02 15:36:30','641846e0-2d6e-4447-878d-48304bdab2be'),(47325,46998,1,NULL,NULL,NULL,NULL,1,'2024-08-02 15:36:30','2024-08-02 15:36:30','7b97d817-3b7c-4226-905d-630c5e346903'),(47328,47001,1,'Patient Notification','standard-variable-list-2','tools/standard-variable-list-2','{\"2bbee18c-8340-4ef8-955a-91e4bec4bd09\": false, \"50fd5cf3-c097-475d-9aa5-534e9467bd8b\": false}',1,'2024-08-02 15:38:47','2024-08-02 15:38:47','cff9a4cb-d592-492e-a11d-0e7a7a986b2f'),(47329,47002,1,NULL,'__temp_izdbgctodirkxxxkyelavthtmoloysyozqzu',NULL,'{\"5e69eb2b-d9e6-4bc3-96d9-bd135014dc13\": \"Resources providing guidance and justification for notification\", \"8fb44257-6036-45ee-828d-a67768a3ce5d\": \"Outbreak response often requires communication to at-risk individuals or groups\"}',1,'2024-08-02 15:38:47','2024-08-02 15:38:47','6c34b2d8-c266-4c4a-ab3a-7612a47fd8fd'),(47332,47005,1,'Medical Products','medical-products','tools/medical-products','{\"2bbee18c-8340-4ef8-955a-91e4bec4bd09\": true, \"50fd5cf3-c097-475d-9aa5-534e9467bd8b\": true}',1,'2024-08-02 15:42:55','2024-08-02 15:42:55','a90568ce-a2a7-47de-959c-228ac2d88f4a'),(47333,47006,1,NULL,'__temp_vrzfbuleqbxrrpabmfevhuhnzbelwvfwuggx',NULL,'{\"5e69eb2b-d9e6-4bc3-96d9-bd135014dc13\": \"Investigating possible medical product involvement\", \"8fb44257-6036-45ee-828d-a67768a3ce5d\": \"Resources to establish an approach to assess medical product-related healthcare outbreak & response\"}',1,'2024-08-02 15:42:55','2024-08-02 15:42:55','53610fbc-699d-4792-9361-0d344e78155f'),(47336,47009,1,'Medical Products','medical-products','tools/medical-products','{\"2bbee18c-8340-4ef8-955a-91e4bec4bd09\": true, \"50fd5cf3-c097-475d-9aa5-534e9467bd8b\": true}',1,'2024-08-02 15:44:27','2024-08-02 15:44:27','4c3b5ef7-6aef-4201-93b6-ec07418e6062'),(47337,47010,1,NULL,'__temp_vrzfbuleqbxrrpabmfevhuhnzbelwvfwuggx',NULL,'{\"5e69eb2b-d9e6-4bc3-96d9-bd135014dc13\": \"Tools to help investigate possible medical product involvement\", \"8fb44257-6036-45ee-828d-a67768a3ce5d\": \"Resources to establish an approach to assess medical product-related healthcare outbreak & response\"}',1,'2024-08-02 15:44:27','2024-08-02 15:44:27','1df32526-584a-4989-b227-d197c5d6907f'),(47339,47012,1,'Importance of Data Sharing and Reporting: A Conversation with CORHA’s Policy Workgroup Co-Chairs','importance-of-data-sharing-and-reporting-a-conversation-with-corhas-policy-workgroup-co-chairs','news/importance-of-data-sharing-and-reporting-a-conversation-with-corhas-policy-workgroup-co-chairs','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>Sharing data between health departments and other healthcare organizations makes conducting public health activities like investigations, identifying and addressing issues, and evaluating intervention efforts easier and more effective. However, data sharing between state, local and private health entities is not without challenges. </p><p>Data sharing and reporting outbreaks of healthcare-associated infections (HAIs) is one of the most pressing issues. The success of this type of outbreak response hinges on access to accurate, timely data. While technology limitations represent some challenges, like data system access for public health professionals and system interoperability, other challenges are administrative like dedicating resources for up-to-date data systems and informatics and having access to staff with informatics expertise. Any solutions must also carefully balance public awareness and patient confidentiality. </p><p>Even if challenges in accessing and using available electronic health information are overcome, gaps in collecting or reporting data between health departments and local healthcare organizations may still exist. For instance, demographic data that could identify populations disproportionately impacted by HAI outbreaks and individual cases of antimicrobial resistance (AR) are not collected consistently, posing a challenge to understanding health inequities. </p><p>Manually sharing reports between healthcare organizations and public health can further strain thinly stretched healthcare staff. The best time to work through technical issues and reporting inconsistencies is prior to an outbreak incident. It is integral to effective outbreak response efforts. Some ways to work through challenges include establishing data dictionaries, checking data system interoperability, mandating reporting perimeters, and standardizing data. </p><p><a href=\\\"https://www.corha.org/corha-governance-committee-members/corha-workgroups/\\\">CORHA’s Policy Workgroup</a> aims to advocate for and establish more transparency related to data collection and reporting. We recognize that accomplishing this goal requires additional guidance, resources, and buy-in from leadership across public health and healthcare. Given the variations from state to state in public health data sharing rules, national-level mandates and public health law advocacy may also be necessary to address this challenge. </p><p>The CORHA Policy Workgroup continues to develop resources on public data sharing and reporting of HAI/AR outbreaks with the goal of balancing public data sharing and the protection of patient confidentiality. The following CORHA resources can be used to inform policies and legal frameworks for outbreak reporting, investigation, notification, and disclosure: </p><ul style=\\\"list-style-type:disc;\\\"><li><a href=\\\"https://www.corha.org/resources/corha-framework-for-healthcare-associated-infection-outbreak-notification/\\\">Framework for HAI Outbreak Notification</a> </li><li><a href=\\\"https://old.corha.org/wp-content/uploads/2023/11/HAI-Patient-Notification-Framework-one-pager_Oct-2023.pdf\\\">Framework for HAI Outbreak Notification One-Pager </a></li><li><a href=\\\"https://www.corha.org/resources/corha-principles-and-practices-for-outbreak-response/\\\">Principles &amp; Practices Chapter 4: Outbreak Detection and Reporting</a> </li><li><a href=\\\"https://www.corha.org/resources/corha-principles-and-practices-for-outbreak-response/\\\">Principles &amp; Practices Chapter 8: Notification and Communication</a> </li></ul>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Moon Kim, MD, MPH, Dawn Terashita, MD, MPH, & Jaclyn Abramson, MPH\"}',1,'2024-08-02 17:01:23','2024-08-02 17:01:23','b372d976-692d-443c-a5f9-0b176eb8ee11'),(47340,47013,1,'Local Health Department’s Use of Data Sharing Modeled by Snohomish County, WA','local-health-departments-use-of-data-sharing-modeled-by-snohomish-county-wa','news/local-health-departments-use-of-data-sharing-modeled-by-snohomish-county-wa','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p> </p><p>In the previous spotlight, we learned about the importance of data sharing to support outbreak response and some of the challenges public health and healthcare professionals face. Here, I will highlight Snohomish County Health Department’s (SCHD) lessons learned and strategies for successfully gaining access to electronic health records (EHRs) of healthcare system partners within our jurisdiction and how it streamlines our case reporting, outbreak detection and response, and case investigations. </p><p>SCHD, based in Washington State, developed close relationships with healthcare organizations (HCOs) during the pandemic which were elemental in gaining access to our jurisdiction’s HCO’s EHRs. The pandemic also emphasized the benefits of public health having direct EHR access. Direct access helps streamline a process that can be confusing and burdensome for HCO staff. Previously, this type of information exchange could involve multiple rounds of faxes or phone calls.  </p><p>When we reach out to pursue a new EHR access agreement, my colleagues and I have conversations with the HCO’s executive/c-suite leaders to identify their concerns. We underscore our willingness to support the data sharing agreement process and its flexibility regarding potential HCO requirements, such as limiting public health account access to requesting specific types of patient information or records. This establishes a basis to build trust from which growth can occur, with the long-term goal of gaining full read-only access to all HCO partner EHRs as is allowable under HIPAA and public health law. With these foundational relationships, LHDs can expand data sharing opportunities to improve community health. </p><p>Another strategy SCHD has leveraged was to first target the HCOs with the lowest barriers to EHR access for both public health and healthcare providers from different systems. Once we had multiple HCOs that granted access, it was easier to persuade other organizations that were more hesitant. We also worked internally to identify the HCOs for which EHR access would be most beneficial to our disease and outbreak investigation work.  </p><p>Snohomish County also recommends a proactive approach in which EHR access is obtained prior to outbreaks and relevant accounts are ready to go. We’re hopeful that our experience implementing these strategies serves as a learning opportunity for other jurisdictions to establish data sharing agreements with their HCOs. </p><p> </p><figure class=\\\"image\\\"><img src=\\\"{asset:45397:transform:medium||/assets/images/transf/_medium/45397/James-Lewis-photo.webp}\\\" alt=\\\"James Lewis\\\" width=\\\"300\\\" height=\\\"349\\\" /></figure><p>                                                                                           <i> James Lewis</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"James Lewis, MD, MPH\"}',1,'2024-08-03 22:05:23','2024-08-03 22:05:23','e93de5da-7db4-4f8c-85f1-d9ef921857be'),(47364,47036,1,'Burkholderia cepacia','b-cepacia','diseases-pathogens/b-cepacia','{\"b0e373e6-78db-4059-8c91-7bf51b328e7b\": false}',1,'2024-08-04 19:39:57','2024-08-04 19:39:57','79730d27-1292-40a8-870a-6b1c5b133890'),(47365,47037,1,NULL,NULL,NULL,NULL,1,'2024-08-04 19:39:57','2024-08-04 19:39:57','449bb9c7-6edc-47cf-b31f-2bc8de0f0fc0'),(47366,47038,1,NULL,'__temp_hsnnhimrxeckfcordisvncnssbxgwaokkxcg',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Example line list and data collection tool for a Bcc outbreak investigation\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-29 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://old.corha.org/wp-content/uploads/2023/06/Example-Line-List-and-Data-Collection-Tool.xlsx\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This form can be adapted by adjusting the fields to collect the specific case and exposure information relevant to the investigation.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-04 19:39:57','2024-08-04 19:39:57','c633b851-e292-48f5-a633-ac74c97ab193'),(47367,47039,1,NULL,NULL,NULL,NULL,1,'2024-08-04 19:39:57','2024-08-04 19:39:57','5082fabb-feb8-4806-8557-f0b1bc312110'),(47368,47040,1,NULL,'__temp_gyyxyaosndrmyibybwuakabethmotizwvlpd',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"MedWatch Online Voluntary Reporting Form\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.accessdata.fda.gov/scripts/medwatch/index.cfm\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Use this form to report a Bcc-related outbreak or product concern.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-04 19:39:57','2024-08-04 19:39:57','b12e6f49-1be2-42ee-8466-95d4b0ff0bb0'),(47369,47041,1,NULL,NULL,NULL,NULL,1,'2024-08-04 19:39:57','2024-08-04 19:39:57','ebb15732-b402-478e-bc82-b5c3deaf9d12'),(47370,47042,1,NULL,'__temp_rxlggetlyczgjlckkrxqriwsadxtyzlwbvov',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Burkholderia cepacia in Healthcare Settings\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/b-cepacia/about/index.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"CDC website on Bcc\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-04 19:39:58','2024-08-04 19:39:58','57f9d8a7-69a1-4b45-87dc-264d0d6ca533'),(47371,47043,1,NULL,NULL,NULL,NULL,1,'2024-08-04 19:39:58','2024-08-04 19:39:58','59a32727-d547-42fb-8b6a-19c7d7a41337'),(47372,47044,1,NULL,'__temp_hvphjihoioblfcvdupxggfixbdkvackxjaoe',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Best practices for manufacturers of non-sterile, water-based drug products\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.fda.gov/drugs/drug-safety-and-availability/fda-advises-drug-manufacturers-burkholderia-cepacia-complex-poses-contamination-risk-non-sterile\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This resource could be helpful to investigators when responding to a Bcc outbreak with potential medical product contamination.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-04 19:39:58','2024-08-04 19:39:58','419bceb3-e6a9-46de-beca-df060028ac52'),(47373,47045,1,NULL,NULL,NULL,NULL,1,'2024-08-04 19:39:58','2024-08-04 19:39:58','fea87fcf-6f68-425b-a4bc-3a9db1ba49ee'),(47374,47046,1,NULL,'__temp_tztcuixrozpicvthmqzccxsparleuheacjoo',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Burkholderia cepacia: This Decision Is Overdue\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.fda.gov/media/81867/download\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"FDA authors reviewed the regulatory and scientific impact of Bcc, describing FDA guidance, manufacturing control measures, and possible points of origin for microbial contamination.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-04 19:39:58','2024-08-04 19:39:58','377ef5fe-253f-424f-a7c0-bc6f67195ea6'),(47375,47047,1,NULL,NULL,NULL,NULL,1,'2024-08-04 19:39:58','2024-08-04 19:39:58','79d30a16-ab28-4eb7-afce-6237da96f544'),(47376,47048,1,NULL,'__temp_czknwpimpsntsfjtxvusnbyvhrtutknjjcjb',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Bcc: a Feared Contamination Risk in Water-Based Pharmaceutical Products\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7194853/pdf/CMR.00139-19.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This article summarizes Bcc outbreaks and describes the mechanisms behind pharmaceutical product contamination.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-04 19:39:58','2024-08-04 19:39:58','419be339-cc65-40ec-9ee1-eeb5526602fd'),(47377,47049,1,NULL,NULL,NULL,NULL,1,'2024-08-04 19:39:58','2024-08-04 19:39:58','25a688f4-f982-403e-a4b8-cbabe4c61f5f'),(47378,47050,1,NULL,'__temp_zhtsumbkodbulmcqwfmpqroytrhdpgvyzbbj',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Systematic review of healthcare-associated B. cepacia\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8335909/pdf/main.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This systematic review summarizes the investigation and control of 111 Bcc healthcare-associated outbreaks.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-04 19:39:58','2024-08-04 19:39:58','78afd290-842f-4cdb-8be3-3cfbefd83bd4'),(47379,47051,1,NULL,NULL,NULL,NULL,1,'2024-08-04 19:39:58','2024-08-04 19:39:58','188959e1-3905-49ba-8892-7734e35b2565'),(47380,47052,1,NULL,'__temp_zaqafmavkfqhzybtepzxtuljmhvagumydjmp',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Bcc outbreak linked to a no-rinse cleansing foam product, United States – 2017–2018\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cambridge.org/core/journals/epidemiology-and-infection/article/burkholderia-cepacia-complex-outbreak-linked-to-a-norinse-cleansing-foam-product-united-states-20172018/8ADC180852BDAB19E3E15512EDC248D5\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"An outbreak due to intrinsic contamination of a non-sterile skin cleanser product\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-04 19:39:58','2024-08-04 19:39:58','baf583f0-eec6-45ee-95c7-3d5c9342b97c'),(47381,47053,1,NULL,NULL,NULL,NULL,1,'2024-08-04 19:39:58','2024-08-04 19:39:58','6a354d0f-c8c7-4258-a4d5-d69d9ffc8362'),(47382,47054,1,NULL,'__temp_rlwbfucqweuwvobrtqwvvphirdfnczagasrh',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Multistate Outbreak of Bcc Bloodstream Infections After Exposure to Contaminated Saline Flush Syringes — United States, 2016–2017\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476681/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"An outbreak due to intrinsic contamination of injectable (sterile medical product) saline flushes\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-04 19:39:58','2024-08-04 19:39:58','1fe890fd-4928-4833-a18b-140307c9fc23'),(47383,47055,1,NULL,NULL,NULL,NULL,1,'2024-08-04 19:39:58','2024-08-04 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data. These data may include intake information (e.g., entity reporting, dates of interest, and basic description of the situation), healthcare facility information, public health agency information, investigation information (e.g., dates of testing and onset, case definition, numbers and characteristics of cases, investigation methods, and suspected source), on-site visits conducted, laboratory information, control measures implemented, and summary and conclusions. This page includes resources which can aid healthcare and public health personnel in the management of these data. </p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"About Data Management - Edit\"}',1,'2024-08-06 18:26:42','2024-08-06 18:26:42','c9770924-d222-4eeb-a2ca-205df96f4101'),(47646,47317,1,'Data Management','data-management','tools/data-management','{\"2bbee18c-8340-4ef8-955a-91e4bec4bd09\": true, \"50fd5cf3-c097-475d-9aa5-534e9467bd8b\": true}',1,'2024-08-06 18:27:15','2024-08-06 18:27:15','ec5a2a48-9305-4ce2-ac7a-6b60bf7ef555'),(47647,47318,1,NULL,NULL,NULL,NULL,1,'2024-08-06 18:27:15','2024-08-06 18:27:15','95e4abcc-29bd-43f1-843a-9d059d566c50'),(47648,47319,1,NULL,'__temp_ocxlrxcxtphylkolahuulzkbqopoosdmybnj',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>Investigating outbreaks in healthcare settings requires the collection and management of significant volumes of data. These data may include intake information (e.g., entity reporting, dates of interest, and basic description of the situation), healthcare facility information, public health agency information, investigation information (e.g., dates of testing and onset, case definition, numbers and characteristics of cases, investigation methods, and suspected source), on-site visits conducted, laboratory information, control measures implemented, and summary and conclusions. This page includes resources which can aid healthcare and public health personnel in the management of these data. </p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"About Data Management\"}',1,'2024-08-06 18:27:15','2024-08-06 18:27:15','8895d67d-e6af-4582-bc18-e90e71c21728'),(47650,47321,1,'2 - Fundamental Concepts','fundamental-concepts','chapters/fundamental-concepts','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Fundamental Concepts\", \"68c04e47-b499-4e50-88f0-a409394e673e\": 2, \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Two\"}',1,'2024-08-06 18:28:56','2024-08-06 18:28:56','b7947b94-8ada-4366-89bb-9f0b9b39b048'),(47651,47322,1,NULL,'__temp_uzoucsvhhrzyjqqombpthfudczbtgaxzrgay',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn basic concepts and trends in healthcare delivery, HAI/AR surveillance, outbreak detection, and response.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Fundamental Concepts\"}',1,'2024-08-06 18:28:56','2024-08-06 18:28:56','155c9c92-244d-4842-91ee-dabaaacb0bb5'),(47652,47323,1,NULL,'__temp_eoacrtyvzmbfchquvzyrzxrvwhwdsvqqpeer',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-08-06 18:28:56','2024-08-06 18:28:56','43d0a695-5010-47f9-b659-a75ada521541'),(47653,47324,1,NULL,'__temp_qeltmaysthbvpssbkkdkvucmabkcbavviiub',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-08-06 18:28:56','2024-08-06 18:28:56','07d66ab4-3890-4480-8c2e-ba18fd447972'),(47654,47325,1,NULL,'__temp_sihrpsoxsgefedkvviponhmikrxoarfykscr',NULL,NULL,1,'2024-08-06 18:28:56','2024-08-06 18:28:56','4ed1e2af-1f97-45a7-b42c-1ff1b48b08b5'),(47655,47326,1,NULL,'__temp_gkfpjxoiqhimxggmufjvhqnfzxsegjqjbetn',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-08-06 18:28:56','2024-08-06 18:28:56','e8e9ea5e-c90c-477d-bdb1-aa4bdb95f804'),(47656,47327,1,NULL,'__temp_selqraxpxgpjwdfsilwyzxugzatmmmtrmbwn',NULL,NULL,1,'2024-08-06 18:28:56','2024-08-06 18:28:56','daa65516-1140-47e8-a9bd-258cb25f5fe0'),(47657,47328,1,NULL,NULL,NULL,NULL,1,'2024-08-06 18:28:56','2024-08-06 18:28:56','30f1677d-7503-4f8c-ad82-74ed7e72c9f2'),(47658,47329,1,NULL,NULL,NULL,NULL,1,'2024-08-06 18:28:57','2024-08-06 18:28:57','cf7ab059-9f1a-4d19-a612-ef411d18d373'),(47659,47330,1,NULL,NULL,NULL,NULL,1,'2024-08-06 18:28:57','2024-08-06 18:28:57','01f1e0b7-0186-45e6-afce-69725047a07c'),(47660,47331,1,NULL,NULL,NULL,NULL,1,'2024-08-06 18:28:57','2024-08-06 18:28:57','5a573851-0bbb-4876-9b77-901bb4994667'),(47661,47332,1,NULL,NULL,NULL,NULL,1,'2024-08-06 18:28:57','2024-08-06 18:28:57','1136476f-c6d4-410e-9cfa-be5638c1fefb'),(47662,47333,1,NULL,NULL,NULL,NULL,1,'2024-08-06 18:28:57','2024-08-06 18:28:57','fb9da1aa-c74c-446e-a398-c7bd7be08d5e'),(47663,47334,1,NULL,NULL,NULL,NULL,1,'2024-08-06 18:28:57','2024-08-06 18:28:57','08e41359-a7ce-4465-b372-9f09f54a8de7'),(47664,47335,1,NULL,NULL,NULL,NULL,1,'2024-08-06 18:28:57','2024-08-06 18:28:57','94a776cc-1ba4-442d-b045-d2a0f2f26ab4'),(47666,47337,1,'Local Health Department’s Use of Data Sharing Modeled by Snohomish County, WA','local-health-departments-use-of-data-sharing-modeled-by-snohomish-county-wa','news/local-health-departments-use-of-data-sharing-modeled-by-snohomish-county-wa','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p> </p><p>In the previous spotlight, we learned about the importance of data sharing to support outbreak response and some of the challenges public health and healthcare professionals face. Here, I will highlight Snohomish County Health Department’s (SCHD) lessons learned and strategies for successfully gaining access to electronic health records (EHRs) of healthcare system partners within our jurisdiction and how it streamlines our case reporting, outbreak detection and response, and case investigations. </p><p>SCHD, based in Washington State, developed close relationships with healthcare organizations (HCOs) during the pandemic which were elemental in gaining access to our jurisdiction’s HCO’s EHRs. The pandemic also emphasized the benefits of public health having direct EHR access. Direct access helps streamline a process that can be confusing and burdensome for HCO staff. Previously, this type of information exchange could involve multiple rounds of faxes or phone calls.  </p><p>When we reach out to pursue a new EHR access agreement, my colleagues and I have conversations with the HCO’s executive/c-suite leaders to identify their concerns. We underscore our willingness to support the data sharing agreement process and its flexibility regarding potential HCO requirements, such as limiting public health account access to requesting specific types of patient information or records. This establishes a basis to build trust from which growth can occur, with the long-term goal of gaining full read-only access to all HCO partner EHRs as is allowable under HIPAA and public health law. With these foundational relationships, LHDs can expand data sharing opportunities to improve community health. </p><p>Another strategy SCHD has leveraged was to first target the HCOs with the lowest barriers to EHR access for both public health and healthcare providers from different systems. Once we had multiple HCOs that granted access, it was easier to persuade other organizations that were more hesitant. We also worked internally to identify the HCOs for which EHR access would be most beneficial to our disease and outbreak investigation work.  </p><p>Snohomish County also recommends a proactive approach in which EHR access is obtained prior to outbreaks and relevant accounts are ready to go. We’re hopeful that our experience implementing these strategies serves as a learning opportunity for other jurisdictions to establish data sharing agreements with their HCOs. </p><p> </p><figure class=\\\"image\\\"><img src=\\\"{asset:45397:transform:medium||/assets/images/transf/_medium/45397/James-Lewis-photo.webp}\\\" alt=\\\"James Lewis\\\" width=\\\"300\\\" height=\\\"349\\\" /></figure><p>                                                                                           <i> James Lewis</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"James Lewis, MD, MPH\"}',1,'2024-08-06 18:39:14','2024-08-06 18:39:14','eb400bbd-a60e-4276-8d43-de2aa7b3da08'),(47667,47338,1,NULL,'__temp_bjaszkepjsvkxvtbdocfptraehdthyrvmbee',NULL,NULL,1,'2024-08-06 18:39:14','2024-08-06 18:39:14','1b27720d-f4ff-46ff-b9aa-31c23c86c1e0'),(47673,47344,1,'Local Health Department’s Use of Data Sharing Modeled by Snohomish County, WA','local-health-departments-use-of-data-sharing-modeled-by-snohomish-county-wa','news/local-health-departments-use-of-data-sharing-modeled-by-snohomish-county-wa','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p> </p><p>In the previous spotlight, we learned about the importance of data sharing to support outbreak response and some of the challenges public health and healthcare professionals face. Here, I will highlight Snohomish County Health Department’s (SCHD) lessons learned and strategies for successfully gaining access to electronic health records (EHRs) of healthcare system partners within our jurisdiction and how it streamlines our case reporting, outbreak detection and response, and case investigations. </p><p>SCHD, based in Washington State, developed close relationships with healthcare organizations (HCOs) during the pandemic which were elemental in gaining access to our jurisdiction’s HCO’s EHRs. The pandemic also emphasized the benefits of public health having direct EHR access. Direct access helps streamline a process that can be confusing and burdensome for HCO staff. Previously, this type of information exchange could involve multiple rounds of faxes or phone calls.  </p><p>When we reach out to pursue a new EHR access agreement, my colleagues and I have conversations with the HCO’s executive/c-suite leaders to identify their concerns. We underscore our willingness to support the data sharing agreement process and its flexibility regarding potential HCO requirements, such as limiting public health account access to requesting specific types of patient information or records. This establishes a basis to build trust from which growth can occur, with the long-term goal of gaining full read-only access to all HCO partner EHRs as is allowable under HIPAA and public health law. With these foundational relationships, LHDs can expand data sharing opportunities to improve community health. </p><p>Another strategy SCHD has leveraged was to first target the HCOs with the lowest barriers to EHR access for both public health and healthcare providers from different systems. Once we had multiple HCOs that granted access, it was easier to persuade other organizations that were more hesitant. We also worked internally to identify the HCOs for which EHR access would be most beneficial to our disease and outbreak investigation work.  </p><p>Snohomish County also recommends a proactive approach in which EHR access is obtained prior to outbreaks and relevant accounts are ready to go. We’re hopeful that our experience implementing these strategies serves as a learning opportunity for other jurisdictions to establish data sharing agreements with their HCOs. </p><p> </p><figure class=\\\"image\\\"><img src=\\\"{asset:45397:transform:medium||/assets/images/transf/_medium/45397/James-Lewis-photo.webp}\\\" alt=\\\"James Lewis\\\" width=\\\"300\\\" height=\\\"349\\\" /></figure><p>                                                                                           <i> James Lewis</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"James Lewis, MD, MPH\"}',1,'2024-08-06 18:46:54','2024-08-06 18:46:54','9fd42e4c-a538-4561-960e-857802cb72c4'),(47675,47346,1,'Local Health Department’s Use of Data Sharing Modeled by Snohomish County, WA','local-health-departments-use-of-data-sharing-modeled-by-snohomish-county-wa','news/local-health-departments-use-of-data-sharing-modeled-by-snohomish-county-wa','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p> </p><p>In the previous spotlight, we learned about the importance of data sharing to support outbreak response and some of the challenges public health and healthcare professionals face. Here, I will highlight Snohomish County Health Department’s (SCHD) lessons learned and strategies for successfully gaining access to electronic health records (EHRs) of healthcare system partners within our jurisdiction and how it streamlines our case reporting, outbreak detection and response, and case investigations. </p><p>SCHD, based in Washington State, developed close relationships with healthcare organizations (HCOs) during the pandemic which were elemental in gaining access to our jurisdiction’s HCO’s EHRs. The pandemic also emphasized the benefits of public health having direct EHR access. Direct access helps streamline a process that can be confusing and burdensome for HCO staff. Previously, this type of information exchange could involve multiple rounds of faxes or phone calls.  </p><p>When we reach out to pursue a new EHR access agreement, my colleagues and I have conversations with the HCO’s executive/c-suite leaders to identify their concerns. We underscore our willingness to support the data sharing agreement process and its flexibility regarding potential HCO requirements, such as limiting public health account access to requesting specific types of patient information or records. This establishes a basis to build trust from which growth can occur, with the long-term goal of gaining full read-only access to all HCO partner EHRs as is allowable under HIPAA and public health law. With these foundational relationships, LHDs can expand data sharing opportunities to improve community health. </p><p>Another strategy SCHD has leveraged was to first target the HCOs with the lowest barriers to EHR access for both public health and healthcare providers from different systems. Once we had multiple HCOs that granted access, it was easier to persuade other organizations that were more hesitant. We also worked internally to identify the HCOs for which EHR access would be most beneficial to our disease and outbreak investigation work.  </p><p>Snohomish County also recommends a proactive approach in which EHR access is obtained prior to outbreaks and relevant accounts are ready to go. We’re hopeful that our experience implementing these strategies serves as a learning opportunity for other jurisdictions to establish data sharing agreements with their HCOs. </p><p> </p><figure class=\\\"image\\\"><img src=\\\"{asset:45397:transform:medium||/assets/images/transf/_medium/45397/James-Lewis-photo.webp}\\\" alt=\\\"James Lewis\\\" width=\\\"300\\\" height=\\\"349\\\" /></figure><p>                                                                                           <i> James Lewis</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"James Lewis, MD, MPH\"}',1,'2024-08-06 18:47:31','2024-08-06 18:47:31','2e0e58a2-9888-4962-9250-05696df4c770'),(47676,47347,1,'Screenshot 2024 04 17 083518',NULL,NULL,NULL,1,'2024-08-06 18:52:32','2024-08-06 18:52:32','78b185d4-eb74-4c4c-b4ac-024cac270587'),(47677,47347,2,'Screenshot 2024 04 17 083518',NULL,NULL,NULL,1,'2024-08-06 18:52:33','2024-08-06 18:52:33','e1845d0a-0980-4e27-aef1-2949e6f78fdb'),(47678,47348,1,'Digital resource 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\"https://www.cdc.gov/healthcare-associated-infections/php/toolkit/water-management.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Helpful information, resources, and tools for understanding and reducing infectious risks due to water-associated organisms.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-06 19:02:54','2024-08-06 19:02:54','6e153c59-84bf-4705-8d34-046a309bce3e'),(47683,47352,1,NULL,NULL,NULL,NULL,1,'2024-08-06 19:02:54','2024-08-06 19:02:54','4465ca49-34a4-4b5a-8099-f238e1e07253'),(47684,47353,1,NULL,'__temp_zhvnoxdlgcqpalvuishokqfcfntlvoiaajyp',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Tap Water Quality and Infrastructure Discussion Guide for Investigation of Potential Water-Associated Infections in Healthcare Facilities\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/healthcare-associated-infections/media/pdfs/water-quality-discussion-guide-p.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This guide provides an organized approach to identifying the potential sources of exposure.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-06 19:02:54','2024-08-06 19:02:54','98d7412d-cc9f-4ae4-88b5-5b6e68835cf8'),(47685,47354,1,NULL,NULL,NULL,NULL,1,'2024-08-06 19:02:54','2024-08-06 19:02:54','72e21db6-8774-4a91-ba56-0c66432e19b6'),(47686,47355,1,NULL,'__temp_lieyoafjcnckwlspkwjdscuwqdnjmvvgzwqn',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Healthcare Outbreaks Associated with a Water Reservoir and Infection Prevention Strategies\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://academic.oup.com/cid/article/62/11/1423/1745014\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Literature review describing healthcare outbreaks associated with water, common transmission routes, and infection prevention strategies.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-06 19:02:54','2024-08-06 19:03:06','63334eb1-edbd-4ce1-b9af-116ff6669234'),(47687,47356,1,NULL,NULL,NULL,NULL,1,'2024-08-06 19:02:55','2024-08-06 19:02:55','c94b2f0b-c7ed-46f9-99e4-595032fbbc84'),(47688,47357,1,NULL,'__temp_djkscwdlhxnkuoptzewcmfvlhguiognhoaoo',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Tap Water Avoidance Decreases Rates of Hospital-onset Pulmonary Nontuberculous Mycobacteria\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326555/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This outbreak response involved avoiding the use of nonsterile water and offers considerations for expanded use of this 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These should be used in conjunction with the systems already in place and the guidance provided in the Principles &amp; Practices and other pathogen resources.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Mechanisms & Settings\", \"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": [29216]}',1,'2024-08-06 21:57:51','2024-08-06 21:57:51','327f7332-47c6-4724-9ef6-9daa3936d92f'),(47884,47553,1,'Dialysis Settings','dialysis','diseases-pathogens/dialysis','{\"8a0179a9-5d67-4563-85ee-348d0dc6b55d\": true, \"b0e373e6-78db-4059-8c91-7bf51b328e7b\": true}',1,'2024-08-06 22:43:40','2024-08-06 22:43:40','4f94c128-4111-4412-a529-07f1490cc90b'),(47885,47554,1,NULL,'__temp_hdsraqonqprifuysemndgkhaquuigrkvhjsx',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Hemodialysis Settings; Treatment of Chronic Kidney Disease</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Dialysis Settings\", \"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": [29813]}',1,'2024-08-06 22:43:40','2024-08-06 22:43:40','6b935a83-8caf-48c3-b309-3abba7d2f63f'),(47886,47555,1,NULL,'__temp_bxwamwlbnsqrraocnnrkrvubgllxowzcsuva',NULL,'{\"0faa63e9-a47b-42c2-95ee-2cfd55201441\": \"Non-pathogen\", \"130805c6-9ae8-47a6-8c71-21bb141e317d\": [28835], \"d057632f-79c8-4652-8fd8-748ac6166ec6\": {\"date\": \"2024-06-10 07:00:00\"}, \"f395977f-9fbd-4439-be7d-6e235b6699ac\": {\"date\": \"2024-06-10 07:00:00\"}}',1,'2024-08-06 22:43:40','2024-08-06 22:43:40','24651b45-c355-4b03-af20-10bbd47501e0'),(47887,47556,1,NULL,NULL,NULL,NULL,1,'2024-08-06 22:43:40','2024-08-06 22:43:40','9b73537c-879f-4a8c-87be-c933a1e484fc'),(47888,47557,1,NULL,NULL,NULL,NULL,1,'2024-08-06 22:43:40','2024-08-06 22:43:40','4273552a-bdd0-4f8e-bc4f-3b4c04d7229e'),(47889,47558,1,NULL,NULL,NULL,NULL,1,'2024-08-06 22:43:40','2024-08-06 22:43:40','1315500b-a1f4-448f-88ac-8caba95d1943'),(47890,47559,1,NULL,'__temp_ojgvrdbeykugtsrbvnzaczutcawbiezupvix',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Dialysis Safety: Audit Tools and Checklists\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-10 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [8588], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/dialysis-safety/hcp/tools/index.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"A collection of audit tools and checklists that can help assess potential outbreaks in hemodialysis facilities.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-06 22:43:40','2024-08-06 22:43:40','794e0193-579d-4f2d-9b89-101e46e79729'),(47891,47560,1,NULL,NULL,NULL,NULL,1,'2024-08-06 22:43:40','2024-08-06 22:43:40','07ee122a-43af-46b9-935c-c4952c5cffd3'),(47892,47561,1,NULL,NULL,NULL,NULL,1,'2024-08-06 22:43:40','2024-08-06 22:43:40','e1941e26-d687-4a91-b522-5f2ffc236819'),(47893,47562,1,NULL,'__temp_aljvndvwolmriztdnioszzaqczfikreweavr',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Dialysis Wall Boxes and Drains\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-10 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [8587], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/dialysis-safety/hcp/recommendations-resources/dialysis-wall-boxes-and-drains.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Dialysis station wall boxes and drains have been linked to outbreaks.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-06 22:43:40','2024-08-06 22:43:40','31f74c17-a368-4565-9c2a-4e6d4da6f315'),(47894,47563,1,NULL,NULL,NULL,NULL,1,'2024-08-06 22:43:40','2024-08-06 22:43:40','bfe49186-ffb3-4365-a716-9c09afb06bfa'),(47895,47564,1,NULL,'__temp_mezykglwlinjailwkwsavjkbsedejnenvqut',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Viral Hepatitis\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-10 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [8587], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2716], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"http://??+https://www.corha.org/resources-and-products/?filter_cat=viral-hepatitis\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"A single case of possible dialysis-associated HBV or HCV warrants investigation to rule out an outbreak.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-06 22:43:40','2024-08-06 22:43:40','3f9dab6c-4a3f-4c66-916f-22d4c89d811d'),(47897,47566,1,'2 - Fundamental Concepts','fundamental-concepts','chapters/fundamental-concepts','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Fundamental Concepts\", \"68c04e47-b499-4e50-88f0-a409394e673e\": 2, \"962072b8-a4f7-4d15-86ee-09f0382a2b5f\": [46158], \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Two\"}',1,'2024-08-07 13:46:59','2024-08-07 13:46:59','69d28f00-2cd6-4f3d-b7d2-ce56644ed77a'),(47898,47567,1,'Planning & Preparation','1',NULL,'{\"b16fbf8b-59fc-49b9-bfd8-054caa73163e\": \"topicsDropdown\"}',1,'2024-08-07 13:49:18','2024-08-07 13:49:36','5e2c1515-2f0a-4c6d-a6ae-b8ebebfdcd3e'),(47900,47569,1,'Natasha Bagdasarian','natasha-bagdasarian','leadership/natasha-bagdasarian','{\"3604fb67-d17a-41db-ac2d-8fb406c55d41\": [7954], \"5a2e2469-7074-4656-bbb3-413707c0d5bb\": \"Council Co-Chair\", \"847d6cd4-1aba-40c7-872b-9908642833ea\": \"ASTHO Representative\", \"b9f3ce9d-0b04-423d-96e6-e7c61c70b996\": \"Dr. Natasha Bagdasarian is the Chief Medical Executive for the state of Michigan, and a cabinet member of the Governor, since 2021. She holds an adjunct faculty appointment at the University of Michigan, School of Public Health.  She has numerous publications on topics in infectious diseases and public health, including guidance on infection prevention and control of the SARS-CoV-2 virus.  Dr. Bagdasarian completed medical school at Wayne State University, internal medicine residency and infectious diseases fellowship at the University of Michigan, and she received her MPH in hospital and molecular epidemiology from the University of Michigan School of Public Health. She is board certified by the American Board of Internal Medicine in both Internal Medicine and Infectious Diseases and has been elected as a Fellow of the Infectious Diseases Society of America. From 2015-2020 she served as the hospital epidemiologist at National University Health System in Singapore.  She has consulted for the World Health Organization (WHO) in Geneva, providing technical guidance on outbreak preparedness and COVID-19; and for the American Society of Microbiology, advising on antimicrobial stewardship in Dhaka Bangladesh.\", \"e2448e70-cace-41e7-b1e7-bd812d8dd695\": \"MD, MPH, FIDSA\", \"f0fd4501-d7ee-49bc-9904-223cfe002011\": \"Michigan Department of Health and Human Services\"}',1,'2024-08-07 14:17:42','2024-08-07 14:17:42','209781de-60bd-4530-836e-fc161181493e'),(47901,47570,1,'Dawn Terashita','dawn-terashita','leadership/dawn-terashita','{\"3604fb67-d17a-41db-ac2d-8fb406c55d41\": [7951], \"5a2e2469-7074-4656-bbb3-413707c0d5bb\": \"Chief-Healthcare Outreach Unit\", \"847d6cd4-1aba-40c7-872b-9908642833ea\": \"NACCHO Representative\", \"b9f3ce9d-0b04-423d-96e6-e7c61c70b996\": \"Dr. Terashita currently serves as the Chief of the Healthcare Outreach Unit at the County of Los Angeles Department of Public Health, Acute Communicable Disease Control Program. Dr. Terashita was educated at the New York Medical College and obtained her Masters of Public Health from Loma Linda University. Dr. Terashita is board certified in Public Health and General Preventive Medicine. She has supervised more than a hundred healthcare-associated outbreaks and authored and co-authored numerous related publications. She is Chair of the Los Angeles County Healthcare Associated Infections and Antimicrobial Resistance Committee and is a member of the California Department of Public Health Healthcare Associated Infections Advisory Committee.\", \"e2448e70-cace-41e7-b1e7-bd812d8dd695\": \"MD, MPH\", \"f0fd4501-d7ee-49bc-9904-223cfe002011\": \"Los Angeles County Department \\nof Public Health\"}',1,'2024-08-07 14:18:04','2024-08-07 14:18:04','a83a7365-c04e-4299-babd-3e6acd52af0a'),(47902,47571,1,'Joseph Perz','joseph-perz','leadership/joseph-perz','{\"3604fb67-d17a-41db-ac2d-8fb406c55d41\": [7947], \"5a2e2469-7074-4656-bbb3-413707c0d5bb\": \"Deputy Chief-Public Health Programs\", \"847d6cd4-1aba-40c7-872b-9908642833ea\": \"CDC Representative\", \"b9f3ce9d-0b04-423d-96e6-e7c61c70b996\": \"Dr. Joseph Perz currently serves as the Deputy Chief for Public Health Programs within the Prevention and Response Branch, Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention in Atlanta, Georgia. Dr. Perz entered the field of public health after training as an engineer and environmental scientist. After receiving a Doctorate in Public Health from Columbia University, he served as an Epidemic Intelligence Service Officer with the Tennessee Department of Health. Since the early 2000s, Dr. Perz has worked at CDC headquarters, guiding dozens of outbreak investigations and special studies, drawing attention to the needs for injection safety and other basic infection control. He has authored or co-authored numerous peer-reviewed journal articles, MMWR articles and book chapters. His activities are currently focused on building support for health departments, fostering interagency collaboration, and promoting efforts to improve and expand prevention and response activities across all healthcare sectors.\", \"e2448e70-cace-41e7-b1e7-bd812d8dd695\": \"DrPH, MA\", \"f0fd4501-d7ee-49bc-9904-223cfe002011\": \"Atlanta, Georgia\"}',1,'2024-08-07 14:18:18','2024-08-07 14:18:18','fb02de11-4cb4-4bd1-a19e-c6cbf41ee3ba'),(47903,47572,1,'Erin Epson','erin-epson','leadership/erin-epson','{\"3604fb67-d17a-41db-ac2d-8fb406c55d41\": [7944], \"5a2e2469-7074-4656-bbb3-413707c0d5bb\": \"Council Co-Chair\", \"847d6cd4-1aba-40c7-872b-9908642833ea\": \"CSTE Representative\", \"b9f3ce9d-0b04-423d-96e6-e7c61c70b996\": \"Dr. Epson is Medical Director and Chief of the Healthcare-Associated Infections (HAI) Program at the California Department of Health. She is clinically trained and board certified in internal medicine and infectious diseases, and completed medical epidemiology training as an Epidemic Intelligence Service Officer with the Centers for Disease Control and Prevention (CDC). In her role with the CDPH HAI Program, Dr. Epson is responsible for ensuring the HAI Program fulfills its legislative mandates by interpreting HAI data reported by California hospitals, determining HAI and antimicrobial resistance (AR) prevention priorities, and publishing these data on an annual basis. Dr. Epson oversees HAI Program operations and communications, data management and epidemiologic analysis, investigation and response to HAI/AR outbreaks and infection control breaches, and facility- and regionally-based HAI/AR prevention initiatives.\", \"e2448e70-cace-41e7-b1e7-bd812d8dd695\": \"MD\", \"f0fd4501-d7ee-49bc-9904-223cfe002011\": \"California Department of Health\"}',1,'2024-08-07 14:18:39','2024-08-07 14:18:39','8739e102-82e2-4b2e-8954-aa6aca788a30'),(47904,47573,1,NULL,NULL,NULL,NULL,1,'2024-08-07 14:26:07','2024-08-07 14:26:07','4c785dd4-0764-4066-bf2b-2741cc1a305c'),(47906,47575,1,'Mechanisms & Settings','mechanisms','mechanisms',NULL,1,'2024-08-07 14:29:03','2024-08-07 14:29:03','a1fee3c6-c35d-402f-a009-b36a570aa1d0'),(47908,47577,1,'Mechanisms & Settings','mechanism-setting','mechanism-setting',NULL,1,'2024-08-07 14:29:41','2024-08-07 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\"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-07 15:16:58','2024-08-07 15:16:58','2e3c9582-6590-4bde-97aa-0d051d044793'),(47929,47598,1,NULL,NULL,NULL,NULL,1,'2024-08-07 15:16:58','2024-08-07 15:16:58','f7ce0cb5-f340-4194-93b9-273f5df56db4'),(47930,47599,1,NULL,'__temp_mwmmabanlwdhcauakvaypeojrzahmlzeaqsl',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Toolkit for Control of Norovirus Outbreaks in Long-Term Care Facilities\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [44266], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.health.pa.gov/topics/Documents/Programs/HAIP-AS/Norovirus%20Toolkit.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This toolkit was adapted from the CDC/HICPAC Guideline and may serve as a model for other states; it contains an outbreak response checklist, sample line 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20:20:10','2024-08-07 20:20:10','7daf3acc-7fb0-459d-b065-152ee1436123'),(48418,48077,1,NULL,'__temp_ncduosaigyawkxwiieimwetymdekhtynyqdi',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"a60e2dbd-d1d4-4923-b727-5371a91e9c7b\": [5633], \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-08-07 20:20:10','2024-08-07 20:20:10','e9339e3f-62e2-4b6c-90a0-1a1da8936a40'),(48419,48078,1,NULL,'__temp_vfaviaohqeywxrohkvmhyhqdmyjylsmcunrx',NULL,NULL,1,'2024-08-07 20:20:10','2024-08-07 20:20:10','f0cbdf2a-d43f-46b8-96a4-a9aae1d7bae5'),(48420,48079,1,NULL,'__temp_anpmslktaamiyuasjvkwpibcdgffwzbhlwdi',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-08-07 20:20:10','2024-08-07 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The second module describes the common pathways through which healthcare outbreaks are detected. Modules three through seven describe the essential components of a healthcare outbreak response, including performing initial outbreak assessments, collecting and analyzing data, performing site visits, and much more.</p><p>Training content is based on The Council for Outbreak Response: Healthcare-Associated Infections and Antimicrobial-Resistant Pathogens (CORHA) <i>Principles and Practices for Healthcare Outbreak Response</i>. This training is the product of a collaboration between CDC, CORHA, and CSTE.</p><p><strong>Learning Objectives:</strong> Over the seven modules, you will learn how outbreaks are detected and the fundamental components that comprise a typical healthcare outbreak investigation including how to complete an initial assessment; collect, organize, and interpret relevant information; develop hypotheses; and use data to inform control measures. You will understand how outbreak response activities are informed by epidemiological factors. You will acquire knowledge to effectively prepare for and conduct site visits, communicate with facilities and other partners, and determine when to transition back to standard surveillance.</p><p><strong>Target Audience:</strong> The primary audience for this training is public health professionals in state, territorial, and local Healthcare-Associated Infections and Antimicrobial Resistance (HAI/AR) Programs.</p><p><strong>Access the course on </strong><a href=\\\"https://www.train.org/cdctrain/course/1114178/compilation?activeTab=registration\\\"><strong>CDC Train</strong></a></p><p> </p>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Healthcare Outbreak Response Training\"}',1,'2024-08-07 21:45:12','2024-08-07 21:45:12','33200ff0-c4ab-4bc5-bc79-10a3225995e9'),(48446,48105,1,'Mycobacterium porcinum Skin and Soft Tissue Infections After Vaccinations — Indiana, Kentucky, and Ohio, September 2018–February 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antibiotic use and hospital-onset Clostridioides difficile infection in US acute-care hospitals, 2012–2018','associations-of-facility-level-antibiotic-use-and-hospital-onset-clostridioides-difficile-infection-in-us-acute-care-hospitals-2012-2018','outbreak-news/associations-of-facility-level-antibiotic-use-and-hospital-onset-clostridioides-difficile-infection-in-us-acute-care-hospitals-2012-2018','{\"ed47ef68-1427-4e49-920a-9323b1826ea7\": [10656]}',1,'2024-08-07 22:29:17','2024-08-07 22:29:17','0e327069-d6af-44dc-bbff-ed2e2e255cfa'),(48450,48109,1,NULL,NULL,NULL,'{\"46f8fcfe-c756-437a-ab02-62c34cb70433\": \"Cambridge Core\", \"d327c84a-a0ba-403a-932c-9a807624e3ef\": {\"date\": \"2021-10-20 20:09:02\"}, \"f9e1c7bb-0351-432a-beb2-a1562d8f7e7e\": \"https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/associations-of-facilitylevel-antibiotic-use-and-hospitalonset-clostridioides-difficile-infection-in-us-acutecare-hospitals-20122018/3DE56E1A829C5654E5D5B98BF77BF5BA\"}',1,'2024-08-07 22:29:17','2024-08-07 22:29:17','e664a063-f52e-4cca-b3d4-1cdded3e4c86'),(48452,48111,1,'Reducing Peripheral Venous Catheter Infections','reducing-peripheral-venous-catheter-infections','outbreak-news/reducing-peripheral-venous-catheter-infections','{\"ed47ef68-1427-4e49-920a-9323b1826ea7\": [17202]}',1,'2024-08-07 22:29:40','2024-08-07 22:29:40','3af3d73e-2f16-4b03-a7f0-83b38fc38b45'),(48453,48112,1,NULL,NULL,NULL,'{\"46f8fcfe-c756-437a-ab02-62c34cb70433\": \"Contagion Live\", \"d327c84a-a0ba-403a-932c-9a807624e3ef\": {\"date\": \"2021-10-18 14:17:31\"}, \"f9e1c7bb-0351-432a-beb2-a1562d8f7e7e\": \"https://www.contagionlive.com/view/reducing-peripheral-venous-catheter-infections\"}',1,'2024-08-07 22:29:40','2024-08-07 22:29:40','e8333fa0-b879-41b5-beab-cdaaf8001bdb'),(48456,48114,1,'All Chapter Topics square',NULL,NULL,NULL,1,'2024-08-07 22:58:15','2024-08-07 22:58:15','876a28a7-d09a-4ea6-acb9-2de95aec2404'),(48457,48114,2,'All Chapter Topics square',NULL,NULL,NULL,1,'2024-08-07 22:58:18','2024-08-07 22:58:18','8739d075-8054-4f9b-8be9-7ea40ef852aa'),(48458,48115,1,'Search Imagee_All Pathogens & Diseases',NULL,NULL,NULL,1,'2024-08-07 22:59:23','2024-12-03 20:49:27','f2b18bea-d115-46e4-b6d1-d60ef35a09c1'),(48459,48115,2,'All Chapter Topics square',NULL,NULL,NULL,1,'2024-08-07 22:59:24','2024-08-07 22:59:24','03ef7839-6fa3-4e76-81c6-7df96d7b3c20'),(48461,48117,1,'Principles & Practices for Outbreak Response','principles-practices-for-outbreak-response','principles-practices-for-outbreak-response','{\"82dca3eb-9b32-4e39-8c11-a4272423e016\": [48115]}',1,'2024-08-07 22:59:30','2024-08-07 22:59:30','fb27834a-4016-4c58-9f18-a3513c9ba443'),(48462,48118,1,NULL,'__temp_rhshhrxozdwgdoxpkrssphdduwgzstfylhgf',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>This comprehensive reference equips public health, healthcare, and other stakeholders with the information they need to build, standardize, or improve upon their healthcare outbreak response capacities and practices. </p><p><a href=\\\"https://www.naccho.org/uploads/downloadable-resources/CORHA-Principles-and-Practices-Second-Edition.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Access All Chapters Text</a></p>\", \"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": [8776]}',1,'2024-08-07 22:59:31','2024-08-07 22:59:31','cc411c2d-853c-4ae4-97af-ec6c98533ae3'),(48464,48120,1,'Pathogens & Diseases','pathogens-diseases','pathogens-diseases','{\"82dca3eb-9b32-4e39-8c11-a4272423e016\": [48115]}',1,'2024-08-07 23:00:32','2024-08-07 23:00:32','ee53b622-77a7-4739-9690-67abe5c7722e'),(48465,48121,1,NULL,'__temp_bgxlntoylmnsysljfmqnfvwzoscnqjchdbpq',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>In addition to general guidance and tools for all outbreaks, CORHA has curated a collection of resources from leading institutions for specific outbreaks. 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[12807]}',1,'2024-08-09 16:01:36','2024-08-09 16:01:36','35eb2729-c8d6-4a89-9975-e20d3e5d8577'),(48732,48382,1,NULL,NULL,NULL,'{\"46f8fcfe-c756-437a-ab02-62c34cb70433\": \"CMS\", \"d327c84a-a0ba-403a-932c-9a807624e3ef\": {\"date\": \"2020-04-19 14:45:08\"}, \"f9e1c7bb-0351-432a-beb2-a1562d8f7e7e\": \"https://www.cms.gov/newsroom/press-releases/trump-administration-announces-new-nursing-homes-covid-19-transparency-effort\"}',1,'2024-08-09 16:01:36','2024-08-09 16:01:36','c5a6b058-ddc1-4fec-82bc-4cba9c754d17'),(48735,48385,1,'Multidrug-Resistant Bacterial Infections in U.S. Hospitalized Patients, 2012–2017','multidrug-resistant-bacterial-infections-in-u-s-hospitalized-patients-2012-2017','outbreak-news/multidrug-resistant-bacterial-infections-in-u-s-hospitalized-patients-2012-2017','{\"ed47ef68-1427-4e49-920a-9323b1826ea7\": [44025]}',1,'2024-08-09 16:02:19','2024-08-09 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\"da987605-91d6-41ef-a67b-639e071b34fe\": \"This resource could be helpful to investigators when responding to a Bcc outbreak with potential medical product contamination.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 19:36:58','2024-08-10 19:36:58','84d7e007-aa99-47c6-8e7a-d010550c4a2d'),(48765,48415,1,NULL,NULL,NULL,NULL,1,'2024-08-10 19:36:58','2024-08-10 19:36:58','da2ee028-99ae-4e62-b4f2-5c6f6f8fa9c2'),(48766,48416,1,NULL,'__temp_tztcuixrozpicvthmqzccxsparleuheacjoo',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Burkholderia cepacia: This Decision Is Overdue\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [14914], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.fda.gov/media/81867/download\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"FDA authors reviewed the regulatory and 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\"da987605-91d6-41ef-a67b-639e071b34fe\": \"An outbreak due to intrinsic contamination of a non-sterile skin cleanser product\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 19:36:58','2024-08-10 19:36:58','fc048d61-b96f-40d5-a81e-57b8b2786825'),(48773,48423,1,NULL,NULL,NULL,NULL,1,'2024-08-10 19:36:58','2024-08-10 19:36:58','95b7b340-48f6-4efd-82c5-57f3b761812c'),(48774,48424,1,NULL,'__temp_rlwbfucqweuwvobrtqwvvphirdfnczagasrh',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Multistate Outbreak of Bcc Bloodstream Infections After Exposure to Contaminated Saline Flush Syringes — United States, 2016–2017\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [14914], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476681/\", 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\"da987605-91d6-41ef-a67b-639e071b34fe\": \"An outbreak due to an intrinsically contaminated non-sterile oral medication\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 19:36:59','2024-08-10 19:36:59','e90fe56b-825e-457a-bd87-a97f87f6a188'),(48777,48427,1,'Candida auris','c-auris','diseases-pathogens/c-auris','{\"8a0179a9-5d67-4563-85ee-348d0dc6b55d\": false, \"b0e373e6-78db-4059-8c91-7bf51b328e7b\": true}',1,'2024-08-10 19:40:59','2024-08-10 19:40:59','651e95ef-aaa7-4a73-a98f-e55c9797801f'),(48778,48428,1,NULL,'__temp_mgxgiouzofnmkbhidqgmctqezrknagtyorzu',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Also referred to as C. auris</i></p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Candida auris\", \"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": [29380]}',1,'2024-08-10 19:40:59','2024-08-10 19:40:59','d9869d65-8c19-49db-951b-b4287dd28607'),(48779,48429,1,NULL,'__temp_gawqpckiwiqstbmvxrkjeapbpbyyzonfvvdm',NULL,'{\"0faa63e9-a47b-42c2-95ee-2cfd55201441\": 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\"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.corha.org/wp-content/uploads/2021/08/Candida-auris-Recommendations-for-Healthcare-Outbreak-Response.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This CORHA developed product includes proposed investigation/reporting thresholds and an outbreak definition for C. auris.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 19:41:00','2024-08-10 19:41:00','aff23709-22a1-430a-9e4d-5379a9019f38'),(48783,48433,1,NULL,NULL,NULL,NULL,1,'2024-08-10 19:41:00','2024-08-10 19:41:00','60daeac1-db56-4626-9618-50f912218189'),(48784,48434,1,NULL,'__temp_qmhcxyvtsbbfepftnwkiivogawelgczjtxsi',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Infection Control Guidance: Candida auris\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/candida-auris/hcp/infection-control/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This CDC product outlines measures to control C. auris including setting-specific guidance.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 19:41:00','2024-08-10 19:41:00','f563e870-42f1-4d74-9222-197c29471dc2'),(48785,48435,1,NULL,NULL,NULL,NULL,1,'2024-08-10 19:41:00','2024-08-10 19:41:00','38f6e21c-c495-49f3-9adf-05ffca5dcccc'),(48786,48436,1,NULL,'__temp_odwrxknpunbllrstogttzfwrmsxyltsxnctc',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Screening for Candida auris Colonization\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/candida-auris/hcp/screening-hcp/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This CDC resource provides detailed recommendations on screening for C. auris colonization.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 19:41:00','2024-08-10 19:41:00','2e0372de-629f-4147-a49a-107a8dcde4a7'),(48787,48437,1,NULL,NULL,NULL,NULL,1,'2024-08-10 19:41:00','2024-08-10 19:41:00','bab9cff9-0796-47b9-ac82-a5c35d7f0984'),(48788,48438,1,NULL,'__temp_zantjlhdqpstwwdfwekawhdwvzqvkrczjlns',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Antimicrobial Products Effective Against Candida auris\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [44093], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.epa.gov/pesticide-registration/epas-registered-antimicrobial-products-effective-against-candida-auris-list\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"The EPA\'s List P provides information on registered antimicrobial products listed as effective against C. auris.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 19:41:00','2024-08-10 19:41:00','aaf91606-80d7-4d3c-9d90-831db384ebbb'),(48789,48439,1,NULL,NULL,NULL,NULL,1,'2024-08-10 19:41:00','2024-08-10 19:41:00','4b735126-e18f-4e72-8d0d-67d00f6ac333'),(48790,48440,1,NULL,'__temp_hcunbavkrfugxblnduessxokbsjwzmjodlqc',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Tracking Candida auris\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/candida-auris/tracking-c-auris/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"C. auris cases are nationally notifiable; this page offers reporting 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[2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/injection-safety/hcp/clinical-overview/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Learn about diversion-related outbreaks plus tools and guidance for prevention and response.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:15:08','2024-08-10 20:15:08','62379381-7f22-4031-b11f-ed5f9de1d5c3'),(48867,48517,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:15:08','2024-08-10 20:15:08','9d7f6435-7e50-4f4c-869a-f1cc3b637617'),(48868,48518,1,NULL,'__temp_aljvndvwolmriztdnioszzaqczfikreweavr',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Cluster of Sphingomonas paucimobilis Bacteremias Linked to Diversion of Intravenous Hydromorphone\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-10 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [28771], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.nejm.org/doi/full/10.1056/NEJMc1902973\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This publication details an outbreak of Sphingomonas paucimobilis resulting from drug diversion in a cancer center.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:15:08','2024-08-10 20:15:08','fec023d5-87d6-44c2-9877-054ba9216eb8'),(48869,48519,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:15:08','2024-08-10 20:15:08','dce60eb6-2351-4ff7-aaaf-976324ca92c4'),(48870,48520,1,NULL,'__temp_mezykglwlinjailwkwsavjkbsedejnenvqut',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Hepatitis C Virus Potentially Transmitted by Opioid Drug Diversion from a Nurse - Washington, August 2017 - March 2018\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-10 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [14914], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/mmwr/volumes/68/wr/mm6816a3.htm\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This publication details an outbreak of at least 12 HCV infections in patients who had received opioid injections from a nurse who admitted to diverting injectable narcotic drugs.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:15:08','2024-08-10 20:15:08','5812fc3e-b37c-4cba-8378-c09afbb89dc4'),(48871,48521,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:15:08','2024-08-10 20:15:08','8be9a408-47ba-451c-b7b3-e17f1da45e98'),(48872,48522,1,NULL,'__temp_ogmtrwckcufzhcrkolkwhzqbhvjphoekxpmw',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Cluster of Sphingomonas paucimobilis Bacteremias Linked to Diversion of Intravenous Hydromorphone\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-10 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [14914], 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\"https://www.cdc.gov/dialysis-safety/hcp/recommendations-resources/dialysis-wall-boxes-and-drains.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Dialysis station wall boxes and drains have been linked to outbreaks.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:19:38','2024-08-10 20:19:38','506d1f4b-bd07-4c96-b92f-aa10ef4c798d'),(48880,48530,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:19:38','2024-08-10 20:19:38','aa0338e9-012d-4a4b-bfe9-b7285453a11a'),(48881,48531,1,NULL,'__temp_mezykglwlinjailwkwsavjkbsedejnenvqut',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Viral Hepatitis\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-10 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2716], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://corha.org/diseases-pathogens/hepatitis\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"A single case of 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\"https://www.cdc.gov/injection-safety/hcp/clinical-safety/index.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This website includes guidelines and recommendations, including key points for medication preparation, single- and multiple-dose vials, and more.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:23:14','2024-08-10 20:23:14','07ab2c8c-d0c4-4fac-8756-21d1fd0a806e'),(48887,48537,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:23:14','2024-08-10 20:23:14','88ceae48-2acf-4c07-b358-b80d95ba344d'),(48888,48538,1,NULL,'__temp_aljvndvwolmriztdnioszzaqczfikreweavr',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Outbreaks and infection control breaches in health care settings: Considerations for patient notification.\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-10 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [14914], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.sciencedirect.com/science/article/pii/S019665532030136X\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This article provides considerations and thresholds for patient notification when investigating an infection control breach, including those related to injection practices.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:23:14','2024-08-10 20:23:14','4bad2d76-2650-451e-a519-6e9e4302dcb8'),(48889,48539,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:23:14','2024-08-10 20:23:14','7553b46f-d2b0-4894-a7ab-4404d6cab21d'),(48890,48540,1,NULL,'__temp_mezykglwlinjailwkwsavjkbsedejnenvqut',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Patient Notification Events Due to Syringe Reuse and Mishandling of Injectable Medications by Health Care Personnel—United States, 2012–2018: Summary and Recommended Actions for Prevention and Response\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-06-10 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [14914], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.sciencedirect.com/science/article/pii/S002561961930761X\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This article summarizes patient notifications and outbreaks due to unsafe injection practices.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:23:14','2024-08-10 20:23:14','c18ec71e-b929-482a-94eb-e81dcbe6eec0'),(48891,48541,1,'Clostridioides difficile','c-diff','diseases-pathogens/c-diff','{\"8a0179a9-5d67-4563-85ee-348d0dc6b55d\": false, \"b0e373e6-78db-4059-8c91-7bf51b328e7b\": true}',1,'2024-08-10 20:26:29','2024-08-10 20:26:29','1ba34615-02fe-46d5-9b59-7eb8061c55e3'),(48892,48542,1,NULL,'__temp_mcpayctrkfgazliqngkcnqsnzbsbazjwvpkk',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p><i>Also referred to as \'C. diff\' or CDI; 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[16018], \"d057632f-79c8-4652-8fd8-748ac6166ec6\": {\"date\": \"2024-05-24 07:00:00\"}, \"f395977f-9fbd-4439-be7d-6e235b6699ac\": {\"date\": \"2024-05-24 07:00:00\"}}',1,'2024-08-10 20:39:32','2024-08-10 20:39:32','c63112e5-bf2b-4e50-b9a5-71a8300c1beb'),(48947,48597,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:39:32','2024-08-10 20:39:32','48b54640-8d2b-4a80-802c-8b6684c08b40'),(48948,48598,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:39:32','2024-08-10 20:39:32','f9af2f79-91cb-4c27-8e33-1bcdfbc4c6ff'),(48949,48599,1,NULL,'__temp_eghzzegqoautvdvwieuyxwvhckymfohexgkz',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Public Health Considerations for Healthcare-associated Cases and Outbreaks of Legionnaires’ disease\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-28 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/investigate-legionella/php/healthcare-resources/index.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This website provides guidance for responding to healthcare-associated cases and outbreaks of Legionnaires’ disease, including: an outline of investigation steps; information on case finding, environmental assessment, and immediate control measures; and communications resources.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:39:32','2024-08-10 20:39:32','0c9da443-893e-445e-ad69-43ddcf6dcbfc'),(48950,48600,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:39:32','2024-08-10 20:39:32','68f14862-2e8b-487d-a049-4d111b938912'),(48951,48601,1,NULL,'__temp_vyaplsbwlgporyyvxmqihqeuhslddoqtzavw',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"CDC Vital Signs, June 2017: Legionnaires’ Disease, a Problem for Healthcare Facilities\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-28 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provides links to a risk communication toolkit and water management program (WMP) evaluation tool that can be used when responding to healthcare-associated Legionnaire\'s disease\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:39:32','2024-08-10 20:39:32','9a67e9b0-d728-4193-9dbc-7839d89e6bb9'),(48954,48604,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:39:32','2024-08-10 20:39:32','096eb9b3-7299-43fe-991b-61d185b802f7'),(48955,48605,1,NULL,'__temp_zfrirbwzvzjbooewrasjyqdteqgsbwmpstwv',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Example of patient notification: Legionella outbreak in a general medicine ward\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-28 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2716], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.corha.org/wp-content/uploads/2022/10/CORHA-PP-Chapter-8-1.pdf\", 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\"CRE Infection Control\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/cre/hcp/infection-control/index.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Recommendations that healthcare providers and health departments can use to reduce the spread of CRE infections\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:45:42','2024-08-10 20:45:42','50b72c64-024b-43aa-8d17-b13f07c1eb68'),(48999,48649,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:45:42','2024-08-10 20:45:42','a8bc670d-6ddc-4b1a-a23e-a67176341f0f'),(49000,48650,1,NULL,'__temp_zhhcdigssqnrjxfnuctgqalhtealjvccwrmg',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Preventing MDROs (multidrug-resistant organisms)\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": 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true}',1,'2024-08-10 20:47:42','2024-08-10 20:47:42','293e4de8-4c22-4b13-9832-7cb475bcb4b3'),(49018,48668,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:47:42','2024-08-10 20:47:42','b3b62445-87b8-45fa-9d08-fd39120ddc18'),(49019,48669,1,NULL,'__temp_otftwxpcqnfrnoryhdbkusswaalvrjzxtjjh',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"ICAR Observation Form - Wound Care\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/infection-control/media/pdfs/icar-ipc-obs-form-wound-care-508.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Audit tool to help identify infection control issues during wound care, a common source of GAS transmission in LTC outbreaks.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:47:42','2024-08-10 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\"https://www.epa.gov/pesticide-registration/epas-registered-antimicrobial-products-effective-against-norovirus-feline\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Environmental cleaning is a key component of norovirus outbreak reponse; this resource includes an interactive table that details antimicrobial products listed as effective against norovirus.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:48:58','2024-08-10 20:48:58','99ca3e1a-2886-4c16-b262-bbcde5e7137b'),(49027,48677,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:48:58','2024-08-10 20:48:58','24164845-7b46-46c4-bbb8-3c025ac16250'),(49028,48678,1,NULL,'__temp_zycsmstxvavfjzspgtjcikqxfnxpbdnjkrha',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Sample Communication Framework: Suspected or Confirmed Norovirus Outbreaks\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://snapshot2024.cdc.gov/hai/pdfs/norovirus/216887-A-GICommFramewk508.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This resource offers a template for timely internal communications when a norovirus outbreak is suspected in a healthcare facility.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:48:58','2024-08-10 20:48:58','c2f76793-dfaf-4151-8428-194b207a3852'),(49029,48679,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:48:58','2024-08-10 20:48:58','c29ccf96-83e2-480e-bfae-fd509bbcf6d7'),(49030,48680,1,NULL,'__temp_pglklfhbipbriccyvwwjoqyfsxnjcivwtxxr',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Norovirus in Healthcare Facilities Fact Sheet\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://stacks.cdc.gov/view/cdc/26151\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This two page fact sheet can be used to educate healthcare partners about norovirus transmission, diagnosis, and control measures.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:48:58','2024-08-10 20:48:58','bb4fce75-3907-4fe8-93f6-84be91ba2d2a'),(49031,48681,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:48:58','2024-08-10 20:48:58','8fe199a7-9df0-4fc1-89db-8ed795e314cf'),(49032,48682,1,NULL,'__temp_erajesfncfiyvehjmsufdonofdoykxmehpth',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Burden of norovirus in healthcare facilities and strategies for outbreak control\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [14914], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668703/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"The authors summarize the challenges and economic burden posed by healthcare associated norovirus outbreaks and offer a tabular summary of CDC/HICPAC control recommendations.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:48:58','2024-08-10 20:48:58','e13e7b04-998e-40f8-aadb-e7a7a2960e39'),(49033,48683,1,'Water-Associated Organisms','water-associated-organisms','diseases-pathogens/water-associated-organisms','{\"8a0179a9-5d67-4563-85ee-348d0dc6b55d\": false, \"b0e373e6-78db-4059-8c91-7bf51b328e7b\": true}',1,'2024-08-10 20:50:29','2024-08-10 20:50:29','1547f0c3-419b-4a18-b6b6-288410e8d227'),(49034,48684,1,NULL,'__temp_roqevoidgtkjifqthynxphayebbabjemnesy',NULL,'{\"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Water-Associated Organisms\", \"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": [44312]}',1,'2024-08-10 20:50:29','2024-08-10 20:50:29','2d545d89-4465-445b-adc0-7640f09ad9f2'),(49035,48685,1,NULL,'__temp_qudbwuzoyjhuptakklfluaacpptnfuvrksqp',NULL,'{\"0faa63e9-a47b-42c2-95ee-2cfd55201441\": \"Various Pathogens\", \"130805c6-9ae8-47a6-8c71-21bb141e317d\": [44308], \"d057632f-79c8-4652-8fd8-748ac6166ec6\": {\"date\": \"2024-07-25 07:00:00\"}, \"f395977f-9fbd-4439-be7d-6e235b6699ac\": {\"date\": \"2024-07-25 07:00:00\"}}',1,'2024-08-10 20:50:29','2024-08-10 20:50:29','43f82f29-05c0-4869-a609-8a4e996c098b'),(49036,48686,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:50:29','2024-08-10 20:50:29','a653c402-5dd6-4aad-ab57-2784fc335c8d'),(49037,48687,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:50:29','2024-08-10 20:50:29','f2998b12-977b-48d8-938d-5c63df39f93b'),(49038,48688,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:50:29','2024-08-10 20:50:29','92bb90d2-2ced-439e-8210-e5e8b92ce8ab'),(49039,48689,1,NULL,'__temp_emfqqzsiyecrzhfzdvgbcyxarwhgyoqugmze',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Reducing Risk from Water, from Plumbing to Patients\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/healthcare-associated-infections/php/toolkit/water-management.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Helpful information, resources, and tools for understanding and reducing infectious risks due to water-associated organisms.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:50:29','2024-08-10 20:50:29','f9e8dc19-8edf-4421-adf9-600eccdf88df'),(49040,48690,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:50:29','2024-08-10 20:50:29','fb8775ff-c3c1-4279-8324-2c251b6e80fe'),(49041,48691,1,NULL,'__temp_zhvnoxdlgcqpalvuishokqfcfntlvoiaajyp',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Tap Water Quality and Infrastructure Discussion Guide for Investigation of Potential Water-Associated Infections in Healthcare Facilities\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/healthcare-associated-infections/media/pdfs/water-quality-discussion-guide-p.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This guide provides an organized approach to identifying the potential sources of exposure.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:50:29','2024-08-10 20:50:29','6f95bb93-fd13-45c1-82c0-21852fb75fd6'),(49042,48692,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:50:29','2024-08-10 20:50:29','6debc879-b518-4d4e-b452-373f9b360c0c'),(49043,48693,1,NULL,'__temp_lieyoafjcnckwlspkwjdscuwqdnjmvvgzwqn',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Healthcare Outbreaks Associated with a Water Reservoir and Infection Prevention Strategies\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [14914], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://academic.oup.com/cid/article/62/11/1423/1745014\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Literature review describing healthcare outbreaks associated with water, common transmission routes, and infection prevention strategies.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:50:29','2024-08-10 20:50:29','7a522991-d923-4995-a01c-dcc5426f11eb'),(49044,48694,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:50:29','2024-08-10 20:50:29','afd26b4e-ec28-4aa1-999e-3996c6a2befe'),(49045,48695,1,NULL,'__temp_djkscwdlhxnkuoptzewcmfvlhguiognhoaoo',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Tap Water Avoidance Decreases Rates of Hospital-onset Pulmonary Nontuberculous Mycobacteria\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [14914], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326555/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This outbreak response involved avoiding the use of nonsterile water and offers considerations for expanded use of this strategy.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:50:29','2024-08-10 20:50:29','5b0c8274-5096-49f9-87ef-5795c2c7c81e'),(49046,48696,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:50:29','2024-08-10 20:50:29','a593f213-c781-4ee5-b1b4-31b1505cfe1f'),(49047,48697,1,NULL,'__temp_qcogcnxwsqwechfabesvjowdsmnjcgeddymw',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Investigation of healthcare infection risks from water-related organisms: Summary of CDC consultations, 2014-2017\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [14914], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/abs/investigation-of-healthcare-infection-risks-from-waterrelated-organisms-summary-of-cdc-consultations-20142017/0771439B1D60E697C52B37FC24944CC0\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Summary of water-associated organism outbreak consultations that details commonly encountered transmission routes associated with clinical care.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:50:29','2024-08-10 20:50:29','caa40846-951c-4dfa-9627-4932e5fdb5cc'),(49048,48698,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:50:29','2024-08-10 20:50:29','d034e0d8-e659-432c-9d84-49afdb994728'),(49049,48699,1,NULL,'__temp_pyqldwfwpqoqyliwjcqlfeuyyttezmnsqlbc',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Outbreaks of healthcare-associated infections linked to water-containing hospital equipment: a literature review\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [14914], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://aricjournal.biomedcentral.com/articles/10.1186/s13756-021-00935-6\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This paper summarizes common hospital medical devices that use water and have led to outbreaks; the authors propose measures to help mitigate these risks.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:50:29','2024-08-10 20:50:29','33176d26-04ae-4a74-b4ae-8ac9d5544ca9'),(49050,48700,1,NULL,NULL,NULL,NULL,1,'2024-08-10 20:50:29','2024-08-10 20:50:29','ac014e26-3b4e-4918-870f-cc8d05163504'),(49051,48701,1,NULL,'__temp_dxkllpryxvqfasjbweozfaxkhviwfnpkshze',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionnaires’ Disease (LD)\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-07-25 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [44334], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/QSO17-30-HospitalCAH-NH-REVISED-.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Outline of requirements for acute care hospitals and long-term care facilities regarding water management policies and procedures to reduce the risk of growth and spread of Legionella and other opportunistic pathogens.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-08-10 20:50:29','2024-08-10 20:50:29','2ff9c75b-864f-4577-a00a-b3ec9d73b333'),(49052,48702,1,'Principles & Practices for Outbreak Response','principles-practices-for-outbreak-response','principles-practices-for-outbreak-response','{\"82dca3eb-9b32-4e39-8c11-a4272423e016\": [48135]}',1,'2024-08-11 17:31:04','2024-08-11 17:31:04','bfab19a5-d307-40d1-ba1b-f8294af96f5d'),(49053,48703,1,'Contact CORHA','contact-corha','contact-corha','{\"82dca3eb-9b32-4e39-8c11-a4272423e016\": []}',1,'2024-08-12 01:01:44','2024-08-12 01:01:44','6d597a78-9855-4ded-ac32-b7c54205619d'),(49054,48704,1,'Leadership','leadership','leadership','{\"82dca3eb-9b32-4e39-8c11-a4272423e016\": []}',1,'2024-08-12 01:04:51','2024-08-12 01:04:51','35df0f5a-52ec-4e9d-8a65-da18dcfd73fc'),(49055,48705,1,NULL,NULL,NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>The Council is led by a governance committee comprised of four representatives from The Association of State and Territorial Health Officials (ASTHO), The Council of State and Territorial Epidemiologists (CSTE), The Centers for Disease Control and Prevention (CDC), and the National Association of County and City Health Officials (NACCHO).</p>\", \"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": [8167]}',1,'2024-08-12 01:04:51','2024-08-12 01:04:51','44acb999-45ea-4d03-b99c-b82aa4b36c4a'),(49056,48706,1,NULL,NULL,NULL,NULL,1,'2024-08-12 01:04:51','2024-08-12 01:04:51','4789ead5-7563-487d-ba05-203780153af4'),(49058,48708,1,'Local Health Department’s Use of Data Sharing Modeled by Snohomish County, WA','local-health-departments-use-of-data-sharing-modeled-by-snohomish-county-wa','news/local-health-departments-use-of-data-sharing-modeled-by-snohomish-county-wa','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p> </p><p>In the previous spotlight, we learned about the importance of data sharing to support outbreak response and some of the challenges public health and healthcare professionals face. Here, I will highlight Snohomish County Health Department’s (SCHD) lessons learned and strategies for successfully gaining access to electronic health records (EHRs) of healthcare system partners within our jurisdiction and how it streamlines our case reporting, outbreak detection and response, and case investigations. </p><p>SCHD, based in Washington State, developed close relationships with healthcare organizations (HCOs) during the pandemic which were elemental in gaining access to our jurisdiction’s HCO’s EHRs. The pandemic also emphasized the benefits of public health having direct EHR access. Direct access helps streamline a process that can be confusing and burdensome for HCO staff. Previously, this type of information exchange could involve multiple rounds of faxes or phone calls.  </p><p>When we reach out to pursue a new EHR access agreement, my colleagues and I have conversations with the HCO’s executive/c-suite leaders to identify their concerns. We underscore our willingness to support the data sharing agreement process and its flexibility regarding potential HCO requirements, such as limiting public health account access to requesting specific types of patient information or records. This establishes a basis to build trust from which growth can occur, with the long-term goal of gaining full read-only access to all HCO partner EHRs as is allowable under HIPAA and public health law. With these foundational relationships, LHDs can expand data sharing opportunities to improve community health. </p><p>Another strategy SCHD has leveraged was to first target the HCOs with the lowest barriers to EHR access for both public health and healthcare providers from different systems. Once we had multiple HCOs that granted access, it was easier to persuade other organizations that were more hesitant. We also worked internally to identify the HCOs for which EHR access would be most beneficial to our disease and outbreak investigation work.  </p><p>Snohomish County also recommends a proactive approach in which EHR access is obtained prior to outbreaks and relevant accounts are ready to go. We’re hopeful that our experience implementing these strategies serves as a learning opportunity for other jurisdictions to establish data sharing agreements with their HCOs. </p><p> </p><figure class=\\\"image\\\"><img src=\\\"{asset:45397:transform:medium||/assets/images/transf/_medium/45397/James-Lewis-photo.webp}\\\" alt=\\\"James Lewis\\\" width=\\\"300\\\" height=\\\"349\\\" /></figure><p class=\\\"main content photo-caption\\\"><i>James Lewis</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"James Lewis, MD, MPH\", \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-08-12 01:10:28','2024-08-12 01:10:28','cc4aedc0-7c4e-43b9-8bbe-5169d2548600'),(49059,48709,1,NULL,'__temp_bjaszkepjsvkxvtbdocfptraehdthyrvmbee',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-08-12 01:10:28','2024-08-12 01:10:28','b4a3ed48-72df-4bca-aa4b-f0884418b0d1'),(49061,48711,1,'Jennifer Jones, 2023 McKnight Prize for Healthcare Outbreak Heroes Recipient','jennifer-jones-2023-mcknight-prize-for-healthcare-outbreak-heroes-recipient','news/jennifer-jones-2023-mcknight-prize-for-healthcare-outbreak-heroes-recipient','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>The Evelyn and Thomas McKnight Family Fund for Patient Safety and the CDC Foundation created the McKnight Healthcare Outbreak Heroes Prize to encourage and reward those who protect patients from harm related to healthcare outbreaks. We’re happy to introduce Jennifer Jones as the 2023 recipient of this prestigious award!</p><figure class=\\\"image\\\"><img src=\\\"{asset:1557:url||/assets/images/305fe57496acb9a1db30e7e0795e2bce.jpg}\\\" alt=\\\"Jennifer Jones\\\" width=\\\"200\\\" height=\\\"300\\\" /></figure><p class=\\\"main content photo-caption\\\"><i>Jennifer Jones</i></p><p>Jennifer Jones, Senior Infection Preventionist at Helen DeVos Children’s Hospital, part of Corewell Health in Grand Rapids, Michigan is the recipient of the 2023 McKnight Prize for Healthcare Outbreak Heroes award for her outstanding response to a Methicillin-resistant Staphylococcus aureus (MRSA) outbreak in a Neonatal Intensive Care Unit.</p><p>In the Spring of 2022, the Helen DeVos Children’s Hospital’s Infection Prevention team, led by Jennifer, Senior Infection Preventionist, was monitoring hospital-acquired MRSA cases in their Neonatal Intensive Care Unit (NICU). The team identified an outbreak after observing a sudden uptick in MRSA bacteremia cases in a short period of time, prompting an investigation. The infection prevention team utilized their Outbreak Investigation Policy, referenced CDC &amp; APIC resources, and implemented mitigation strategies. Examples of these strategies included mandatory Call-to-Action sessions for all team members who enter the NICU, weekly MRSA screening of all admitted NICU babies, development of a decolonization protocol, and installation of additional hand sanitizer dispensers. Jennifer exemplified outstanding leadership, initiative, and personal commitment as part of a successful effort to protect newborns throughout this outbreak response. CORHA spoke with her about her lessons learned and keys to success.</p><p>Jennifer recognized that during this outbreak, good communication was essential for all stakeholders: parents, staff, leadership, the health department, and CDC. She organized weekly meetings to provide updates during the investigation that could be shared among their teams. Jennifer emphasized that navigating these conversations with partners during an HAI/AR outbreak response is always tough; however, when you provide data to support your rationale and response, it makes the conversations easier.</p><p>A success Jennifer shares is that her staff felt comfortable going to leadership and the infection prevention team with suggestions. For example, during their Call-to-Action sessions, staff felt empowered to notify the infection prevention team that gloves in all sizes were not easily accessible to provide care. Jennifer’s team went onsite with facility and bedside team members to see where they could install a place to house small, medium, and large gloves for staff use. This is just one example of open communication from over 40 suggestions that were provided to Jennifer’s team.</p><p>Sharing key messages with everyone who might enter the NICU space was a challenging and essential part of the outbreak response. Jennifer’s team rounded in the NICU frequently to conduct knowledge surveys (and, of course, hand out candy). This helped them evaluate whether their messaging was reaching the care team and provide real-time observations and feedback. The following is a key insight Jennifer gained while leading the outbreak response:</p><p> </p><blockquote><p><i>“Get out there and observe what is truly happening and partner with the care team so it doesn’t seem punitive. Walk alongside them in all phases of an outbreak scenario so it remains a partnership between the care team and infection prevention team.”</i></p></blockquote><p> </p><p>We applaud Jennifer for her leadership, dedication and initiative to ensure a well-coordinated and successful outbreak response.</p><p>To view resources to help your team on patient notification, check out <a href=\\\"https://www.corha.org/resources-and-products/?filter_cat=patient-notification\\\">CORHA’s Patient Notification page</a> which includes our <a href=\\\"https://www.corha.org/resources/corha-framework-for-healthcare-associated-infection-outbreak-notification/\\\">Framework for Healthcare-Associated Infection Outbreak Notification</a>. There, you’ll find advice for timely and transparent communication when faced with your next outbreak response.</p><p><a href=\\\"https://www.corha.org/resources-and-products/?filter_cat=spotlight-series\\\">Click here</a> to read more featured stories as part of the Spotlight Series that highlight the successes and challenges experienced on the local, state, and national levels when responding to and managing HAI/AR outbreaks across the healthcare continuum.</p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Jaclyn Abramson, MPH\", \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-08-12 01:10:48','2024-08-12 01:10:48','a58fefd6-564c-4302-aecf-df5ae365653b'),(49062,48712,1,NULL,'__temp_ekptxikrojheybsnysbimqqwmkzwekzeevio',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-08-12 01:10:49','2024-08-12 01:10:49','a8ced4f5-0387-4fce-b944-a746cf376a88'),(49065,48715,1,'Home','home','__home__',NULL,1,'2024-08-12 21:06:07','2024-08-12 21:06:07','2ea7ee40-c132-4697-81f5-01bd91d39ef5'),(49066,48716,1,NULL,'__temp_umfjzhuncjlyqwhmbflrorrtusxtwntbcbgd',NULL,'{\"10d3ce1c-87ac-42c8-a0d3-eb0af846c292\": \"https://corha.org/tools/outbreak-response-trainings\", \"5c2103b6-c85c-4299-b98b-d424ccd2a354\": \"Introduces public health professionals to key concepts needed to investigate a healthcare outbreak\", \"7a437a7c-0270-491d-88ba-ad25cbff34f1\": \"Training Course\", \"b5070b63-0afe-40ba-84af-7d0b8f1e060a\": \"Healthcare Outbreak Response Training\"}',1,'2024-08-12 21:06:07','2024-08-12 21:06:07','bcd1ddb9-cddb-4021-9db9-2dd0a1979840'),(49078,48727,1,'Clostridioides difficile','c-diff','diseases-pathogens/c-diff','{\"8a0179a9-5d67-4563-85ee-348d0dc6b55d\": false, \"b0e373e6-78db-4059-8c91-7bf51b328e7b\": true}',1,'2024-08-14 18:33:29','2024-08-14 18:33:29','c42adda2-9e9a-4a98-88f1-4a4fdbd5bc72'),(49079,48728,1,NULL,NULL,NULL,NULL,1,'2024-08-14 18:33:29','2024-08-14 18:33:29','8251542b-e441-4f04-8715-cf0ab1cd4e48'),(49080,48729,1,NULL,'__temp_dwgqrcejrkxdcgpttgcpadyfsckfcycslotc',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Clostridioides difficile Infection (CDI): Recommendations for Healthcare Outbreak Response\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2716], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.naccho.org/uploads/downloadable-resources/CDI-Recommendations-for-Healthcare-Outbreak-Response.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This CORHA-developed product includes thresholds for investigation and reporting of a possible Clostridioides difficile infection (CDI) outbreak. 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